Author Question: The pediatric charge nurse receives this report on an incoming admission: a 3-year-old boy with ear ... (Read 81 times)

luminitza · **on:** Jun 28, 2018

The pediatric charge nurse receives this report on an incoming admission: a 3-year-old boy with ear and jaw pain, bilateral parotid gland swelling, and mild dehydration. Which action by the charge nurse is most appropriate?

A.
Do not assign pregnant nursing staff.
B.
Inform parents that sterility is common.
C.
Place the child on droplet precautions.
D.
Place the child on airborne precautions.

Question 2

A nurse is caring for an HIV-positive school-age child who is moderately malnourished. Which interventions are appropriate to include in this child's plan of care? (Select all that apply.)

A.
Assess the oral cavity once a shift.
B.
Determine the child's food preferences.
C.
Encourage adequate fluid intake.
D.
Provide oral hygiene after each meal.
E.
Teach the parents about tube feedings.

choc0chan · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Hospitalized children who have mumps require droplet precautions. There is no danger to a fetus. Sterility is possible in male children due to orchitis, but it is rare.

Answer to Question 2

ANS: A, B, C, D
There are several good strategies for improving nutrition. Assess the oral cavity for mouth sores that make it difficult and painful to eat. Frequent oral care helps reduce the possibility of these lesions occurring. Adequate fluids will help maintain intact oral mucosa. Of course, giving a child favorite foods will increase the likelihood of the child eating. The risks associated with tube feedings are high and not appropriate for a child with mild to moderate malnutrition.